Evidence map›Paper›PMID 41584483›Full record

ReviewStroke (Hoboken, N.J.)2024

Endovascular Thrombectomy in Patients With Preexisting Disability: A Review.

Paul M Wechsler, Thabele Leslie-Mazwi, Eva A Mistry

Abstract readReview
In one paragraph

Review in Stroke (Hoboken, N.J.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Paul M WechslerDepartment of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH.
Thabele Leslie-MazwiDepartment of Neurology Neurosciences Institute University of Washington Seattle WA.
Eva A MistryDepartment of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH.ORCID https://orcid.org/0000-0002-7426-3650

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endovascular mechanical thrombectomy (EVT) drastically reduces disability after acute ischemic stroke due to large-vessel occlusion, but only a small proportion of patients with stroke are eligible for this powerful treatment. Several ongoing studies are aiming to expand the indications for EVT to further reduce disability after acute ischemic stroke for a larger proportion of patients suffering from large-vessel occlusion stroke. Patients with preexisting disability, comprising ≈30% of all patients with acute ischemic stroke, were universally excluded from the landmark clinical trials that established EVT efficacy. These patients disproportionally suffer from accumulated disability after stroke, with substantial societal and economic impact. Further, there is significant heterogeneity in current practice of EVT among patients with preexisting disability. Establishing evidence-based acute stroke treatments for this population is a priority. In this narrative review, we summarize the current literature regarding EVT in patients with preexisting disability. While doing so, we highlight key concepts regarding statistical analysis and discuss opportunities and challenges for future studies focusing on this vulnerable population.

Indexed as

disabilityischemic strokelarge‐vessel occlusionthrombectomy

Identifiers

PMID41584483
PMCPMC12778517

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.